Individual
ANGELA BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RMHCI
Contact information
Practice address
841 JIMMY ANN DR, DAYTONA BEACH, FL 32117-4583
(386) 425-3900
Mailing address
814 LEWIS PL, LONGWOOD, FL 32750-3792
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH16383
FL
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831642032
—
FL
Enumeration date
07/25/2016
Last updated
02/01/2019
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